MEDICARE: CHARISSA TURNER NP-C, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	9337270	FL
2	363LF0000X	Family Nurse Practitioner	021289	OH
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	294435	AZ

General Provider Information

NPI Number	:	1588117774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARISSA TURNER NP-C, PMHNP-BC

Provider Business Mailing Address
First Line	:	404 EVERGREEN CIR
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-8088
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5422 W THUNDERBIRD RD STE 5
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4717
Country	:	US
Telephone Number	:	623-444-5508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2016
Last Update Date	:	09/18/2025

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